2360 W. Dorothy Lane Ave., Suite 105
Dayton, OH 45439
Express Patient Registration   |     Cost/Insurances     |      Patient Testimonials     |      Services     |    Location
Registration Forms  

We make it easy for you to register for care by having you complete a minimum amount of paperwork. Please complete and bring the following forms with you on your first visit.
1. Express Registration Form

2. Patient Questionnaire Form

3. Assignment of Benefits Form

4. Privacy Practice Act Form











Other Pyhsical Therapy Locations

Physical Therapy in Dayton OH - Your best choice,
SMART Moves Physical Therapy -2360 W. Dorothy Lane Ave, Suite 105, Dayton, OH 45439

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